NPI | 1396759460 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: NC 9300501) |
Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: NC 93-00501) |
Enumeration Date | 2006-07-27 |
Last Update Date | 2021-03-16 |